Family Planning and Reproductive Health
- What Do We Demand? Responding to the Call for Precision and Definitional Agreement in Family Planning’s “Demand” and “Need” Jargon
This commentary offers a response to the call to improve family planning language that describes “need” and “demand” and proposes a set of recommendations to add precision, improve measurement, and foster shared understanding in family planning.
- A New Contraceptive Diaphragm in Niamey, Niger: A Mixed Methods Study on Acceptability, Use, and Programmatic Considerations
Through a pilot introduction in Niamey, Niger, we found that expanding method options to include the Caya diaphragm, a new self-care contraceptive product without side effects for most users, may address some of the challenges that contribute to very low contraceptive use.
- Lessons Learned From the Use of the Most Significant Change Technique for Adaptive Management of Complex Health Interventions
The Most Significant Change technique used in monitoring and evaluation has facilitated learning about the project scale-up and adaptive management of evidence-based family planning interventions across diverse project stakeholders in 11 countries in Asia and sub-Saharan Africa.
- What Distinguishes Women Who Choose to Self-Inject? A Prospective Cohort Study of Subcutaneous Depot Medroxyprogesterone Acetate Users in Ghana
Family planning projects and programs seeking to introduce, scale up, or market subcutaneous depot medroxyprogesterone acetate self-injection should first focus efforts on new family planning users, those never married, and those with at least a high school education level.
- Introducing Long-Acting Contraceptive Removal Indicators in a Pilot Study in Mozambique: Dynamics of Discontinuation and Implications for Quality of Care
Tracking information about long-acting reversible contraceptive removals in the national health management information system is feasible and useful for improving the quality of family planning services in Mozambique.
- Language and Measurement of Contraceptive Need and Making These Indicators More Meaningful for Measuring Fertility Intentions of Women and Girls
We examine current “need”-based family planning measures that are based on women’s fertility desires and contraceptive use, identify challenges with language and use of need-based measures, and recommend ways to improve language and measurement.
- Evaluation of 2 Intervention Models to Integrate Family Planning Into Worker Health and Livelihood Programs in Egypt: A Difference-in-Differences Analysis
Integrating family planning and reproductive health messages into worker health programs and livelihood programs may offer a unique approach for raising young people's awareness of family planning and reproductive health.
- Leveraging the Client-Provider Interaction to Address Contraceptive Discontinuation: A Scoping Review of the Evidence That Links Them
After examining existing evidence on contraceptive counseling and its impact on discontinuation, this scoping review identifies principles and priorities for better rights-based counseling, yet also illuminates the need for more evidence to understand relationships between counseling and discontinuation.
- Young People’s Experiences With an Empowerment-Based Behavior Change Intervention to Prevent Sexual Violence in Nairobi Informal Settlements: A Qualitative Study
This study indicates that an empowerment-based, behavioral intervention can contribute to equipping both adolescent girls and boys with concrete skills to recognize and resist sexual violence and can promote positive, nonviolent masculinities among adolescent boys.
- Trends in National-Level Governance and Implementation of the Philippines’ Responsible Parenthood and Reproductive Health Law from 2014 to 2020
National-level implementation of the Philippines’ Responsible Parenthood and Reproductive Health Law has been fragmented and programmatic and centered on family planning rather than multisectoral and holistic. Establishing a common narrative can secure the buy-in of different sectors and open policy solutions to address the structural determinants of reproductive health.